| Bonnie Parker Psyd Llc | |
|
8864 Big Lake Rd Clarkston MI 48346-1010 | |
| (248) 922-9222 | |
| (248) 922-9222 |
| Full Name | Bonnie Parker Psyd Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8864 Big Lake Rd, Clarkston, Michigan |
| Authorized Official Name and Position | Bonnie Jo Parker (PSYCHOLOGIST) |
| Authorized Official Contact | 2489229222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Parker Psyd Llc 8864 Big Lake Rd Clarkston MI 48346-1010 Ph: (248) 922-9222 | Bonnie Parker Psyd Llc 8864 Big Lake Rd Clarkston MI 48346-1010 Ph: (248) 922-9222 |
| NPI Number | 1588085096 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 12/31/2013 |
| Medicare PECOS PAC ID | 9537487699 |
|---|---|
| Medicare Enrollment ID | O20150421002397 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588085096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6301013183 (Michigan) | Primary |
| Provider Name | Bonnie J Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073698072 PECOS PAC ID: 9638170012 Enrollment ID: I20070129000011 |
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